Diet after gallbladder removal

• Efficiency:therapeutic effect after 1-3 months
• Dates:from 1. 5 months to a year

General rules

No matter what techniquecholecystectomyused - laparoscopy or traditional open cholecystectomy, diet in the postoperative period is the most important component of the treatment and recovery period and the first days after surgery are especially important.

After the operation, it is strictly forbidden to drink any liquid for 4-6 hours. It is only allowed to wet the patient’s lips with water, and a little later (after 5-6 hours) it is allowed to rinse the mouth with herbal infusions.

After 12 hours and until the morning of the next day after surgery, you are allowed to drink still water every 10-20 minutes in small portions (1-2 sips) with a total volume of no more than 500 ml.

On the second day, low-fat kefir, unsweetened tea, and jelly are introduced into the diet (volume up to 1. 5 l/day). Serving – no more than ½ glass. Frequency of administration – 1 time/3 hours.

On the third/fourth day, the patient is allowed to eat: semi-liquid mashed potatoes, pureed soups in vegetable broth, egg white omelet, grated boiled fish, fruit jelly and 1 teaspoon of low-fat sour cream. Meals up to 8 times a day, in portions of 150-200 g. From liquids, you can drink juices (apple, pumpkin) and tea with sugar.

On the fifth day, biscuits and dried wheat bread (no more than 100 g) are introduced into the diet.

On days 6-7, pureed porridge (buckwheat, oatmeal), boiled chopped fish and meat, low-fat pureed cottage cheese, vegetable puree, and fermented milk products are introduced.

On the eighth day after laparoscopy of the gallbladder, depending on the severity and prevalence of symptoms of the main, concomitant or complicating disease,Diets No. 5A, 5, 5P(1 or 4 groups). Alternatively, it is assignedDiet No. 5SH(described in the "varieties" section).

Basic diet after gallbladder removal -Table No. 5and its variants. In case of severe inflammatory process, an anti-inflammatory option of table 5 may be prescribed for 3-4 days -Diet 5B. Its peculiarity is the limitation of the amount of food taken. The calorie content of the diet is 1600-1700 kcal (55-65 g protein, 40-50 g fat, 250 g carbohydrates).

All dishes are served exclusively pureed without broth or the addition of butter: various types of slimy cereal soups, semi-liquid pureed porridges with the inclusion of a small amount of low-fat milk, jelly, pureed compotes, vegetable juices. Next, include in small quantities thoroughly pureed steamed meat, boiled fish, low-fat cottage cheese, crackers or dried wheat bread into the diet.

Meals after removal of the gallbladder at least 5 times, in fractional portions, about 200 g, without salt, with plenty of liquid (about 2. 5 l/day). Next, on days 8-10 the patient is prescribedDiet 5Aand thenDiet No. 5.

Diet No. 5 refers to physiologically complete nutrition and is intended to normalize the process of bile secretion and reduce the level ofcholesterolin blood. Small and frequent (5-6 times/day) meals are recommended, which promotes the outflow of bile. In order to enhance the secretion of bile, vegetables are introduced in the form of vinaigrette and salads, seasoned with unrefined vegetable oils.

Almost all easily digestible carbohydrates are sharply limited in the diet, since their intake contributes to the development of bile stagnation (sweets, jam, sugar, honey) and vegetables that contain oxalic acid and essential oils in large quantities (sorrel, spinach, citrus fruits).

In order to stimulate bile secretion, the diet includes vegetables, berries and fruits, and chicken eggs (no more than one). The calorie content of the diet is 2800-3000 kcal (100 g proteins, 90 g fats, 450 g carbohydrates). Salt consumption at the level of 8-10 g, liquid - 1. 5 liters.

With cholelithiasis, concomitant diseases of adjacent internal organs - the duodenum, pancreas, biliary tract - often occur:duodenitis, cholangitis, pancreatitis, dyskinesia.And often against this background aftercholecystectomydevelopspostcholecystectomy syndrome (sphincter of Oddi dysfunction), which is accompanied by the constant release of low-concentrated bile into the lumen of the duodenum with the further addition of pathogenic microflora and the development of inflammation of its mucosa, which leads to pain, digestive disorders and intestinal disorders. These consequences of bladder removal are also corrected by nutrition.

In this case, it is necessary to reduce the process of bile secretion, which is achieved by reducing the amount of fat to 60 g by completely eliminating any solid animal fats and vegetable oils from the diet. Raw fruits and vegetables, fatty meat/fish, smoked and spicy foods, onions, radishes, garlic, radishes, and strong broths based on meat/fish/mushrooms are completely excluded from the diet. The consumption of extractives, easily digestible carbohydrates, coarse fiber, table salt and liquid is also reduced to 1. 5 liters per day.

For inflammation of the pancreas after cholecystomy, it is prescribedTable 5P. At the same time, the protein content in the diet is increased to 120 grams and fatty and carbohydrate foods are limited. The total calorie content of the diet is reduced to 2500 Kcal. Avoid hot, sweet, spicy, sour and highly fatty foods that stimulate the pancreas and foods containing a lot of fiber, purine bases and extractives.

Varieties

After cholecystectomy withhypermotor dyskinesiabiliary tract or with accompanyingpancreatitis, duodenitisa gentle diet is prescribed (No. 5Sh). It is used for 14-21 days until the pain disappears anddyspeptic symptoms. The patient is then transferred toDiet No. 5.

General characteristics - reduced calorie content to 2000-2200 Kcal by limiting the consumption of fats (vegetable oil and also foods rich incholesterol). The consumption of easily absorbed carbohydrates is also reduced in the diet.

Products containing purines, nitrogenous extractives, and coarse fiber are completely excluded from the diet. Easily digestible proteins are not limited. The amount of salt is no more than six grams. Food is prepared by steaming or boiling.

Drinking regimen: up to 2 liters of liquid per day. Five meals a day, portions no more than 200 g with one fasting day per week. Chemical composition: 90 g proteins, 60 g fats (vegetable fats excluded), 300 g carbohydrates.

If bile stagnation occurs after laparoscopic cholecystectomy due tohypomotor dyskinesiathe patient is prescribed to enhance intestinal motor function and stimulate bile secretionlipotropic-fat diet (No. 5 L/F). The total caloric content of the diet is about 2600 kcal.

The dietary features of this diet include a high fat content (50% should be vegetable oils), a reduced content of simple carbohydrates (up to 300 g) and a slight increase in protein (up to 100 g). The diet includes lipotropic protein products (lean meat, egg whites, fish, cottage cheese), wheat bran, refined vegetable oils, and vegetables.

Butter dough, whole milk, refractory animal fats, and spices are completely excluded. The consumption of extractive substances (meat/fish broths) and foods containing cholesterol is sharply limited. Food is baked or boiled, oils are added exclusively to prepared dishes, chopping is not necessary.

Indications

• diet No. 5B- with severe inflammation aftercholecystectomy;
• diet No. 5A- on the 8-10th day of treatment;
• diet number 5- in the recovery stage, afterdiet 5A;
• diet No. 5SH- after cholecystectomy withhypermotor dyskinesiabiliary tract or with accompanyingpancreatitis, duodenitis;
• diet No. 5L/F— after cholecystectomy against the backgroundhypomotor dyskinesiato enhance intestinal motor function and stimulate bile secretion;
• diet No. 5P- after cholecystectomy withacute pancreatitis.

Authorized Products

Products and dishes allowed after surgery include: cereal/vegetable soups, day-old wheat bread, wheat bread crackers, dry biscuits, cutlets, fish, lean meat (rabbit, beef, lean young lamb), steamed, boiled chicken in pieces, fermented baked milk, kefir, low-fat whole milk, yogurt, low-fat cottage cheese and dishes based on it (lazy dumplings, casseroles), mild low-fat cheese, chicken eggs or white steamed omelet (one per day), boiled pasta and cereals (oatmeal and buckwheat), squash caviar, vegetable salads with vegetable oil, greens, vinaigrette, low-fat ham, doctor's sausage, fruit and berry juices, dried fruits, non-acidic fruits and berries, marshmallows, marmalade, black/green tea, rosehip infusion, still mineral water.

Fats of animal and vegetable origin are added to prepared foods.

Table of permitted products

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
eggplant	1. 2	0. 1	4. 5	24
squash caviar	1. 2	7. 0	7. 4	97
cabbage	1. 8	0. 1	4. 7	27
broccoli	3. 0	0. 4	5. 2	28
bulb onions	1. 4	0. 0	10. 4	41
carrot	1. 3	0. 1	6. 9	32
cucumbers	0. 8	0. 1	2. 8	15
salad pepper	1. 3	0. 0	5. 3	27
parsley	3. 7	0. 4	7. 6	47
radish	1. 2	0. 1	3. 4	19
iceberg lettuce	0. 9	0. 1	1. 8	14
tomatoes	0. 6	0. 2	4. 2	20
dill	2. 5	0. 5	6. 3	38
Fruits
bananas	1. 5	0. 2	21. 8	95
apples	0. 4	0. 4	9. 8	47
Nuts and dried fruits
nuts	15. 0	40. 0	20. 0	500
raisin	2. 9	0. 6	66. 0	264
dried apricots	5. 2	0. 3	51. 0	215
almond	18. 6	57. 7	16. 2	645
hazelnut	16. 1	66. 9	9. 9	704
prunes	2. 3	0. 7	57. 5	231
Cereals and porridges
buckwheat	4. 5	2. 3	25. 0	132
oatmeal	3. 2	4. 1	14. 2	102
rice	6. 7	0. 7	78. 9	344
Flour and pasta
pasta	10. 4	1. 1	69. 7	337
pancakes	6. 1	12. 3	26. 0	233
Bakery products
bran bread	7. 5	1. 3	45. 2	227
whole grain bread	10. 1	2. 3	57. 1	295
Dairy
kefir 1. 5%	3. 3	1. 5	3. 6	41
Ryazhenka	2. 8	4. 0	4. 2	67
Cheeses and cottage cheese
cottage cheese 1%	16. 3	1. 0	1. 3	79
Meat products
beef	18. 9	19. 4	0. 0	187
rabbit	21. 0	8. 0	0. 0	156
Sausages
boiled diet sausage	12. 1	13. 5	0. 0	170
boiled milk sausage	11. 7	22. 8	0. 0	252
milk sausages	12. 3	25. 3	0. 0	277
Bird
boiled chicken breast	29. 8	1. 8	0. 5	137
boiled chicken drumstick	27. 0	5. 6	0. 0	158
boiled turkey fillet	25. 0	1. 0	-	130
Eggs
hard-boiled chicken eggs	12. 9	11. 6	0. 8	160
Fish and seafood
flounder	16. 5	1. 8	0. 0	83
pollock	15. 9	0. 9	0. 0	72
cod	17. 7	0. 7	-	78
hake	16. 6	2. 2	0. 0	86
Oils and fats
butter	0. 5	82. 5	0. 8	748
olive oil	0. 0	99. 8	0. 0	898
sunflower oil	0. 0	99. 9	0. 0	899
Non-alcoholic drinks
water	0. 0	0. 0	0. 0	-
green tea	0. 0	0. 0	0. 0	-
* data is per 100 g of product

Fully or partially limited products

If the gallbladder is removed, the diet includes the exclusion from the diet of soups with meat/mushroom/fish broth, solid animal fats (lard, cooking fats), goose, duck, fatty pork, smoked meats, most sausages, fresh bread, canned food, dough (butter), puff pastry), fried or hard-boiled chicken eggs, salted and fatty fish, fried pies, canned fish, whole milk 6% fat, cream, full-fat cottage cheese, sour cream, salted cheese, various seasonings and sauces.

Difficult-to-digest plant foods are limited: all types of legumes, radishes, mushrooms, sorrel, radishes, garlic, green onions, spinach, canned and pickled vegetables. Spicy and fatty snacks, ice cream, confectionery, chocolate, cocoa, alcohol-containing drinks, sour berries, black coffee are excluded.

Table of prohibited products

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
canned vegetables	1. 5	0. 2	5. 5	thirty
peas	6. 0	0. 0	9. 0	60
chickpeas	19. 0	6. 0	61. 0	364
beans	7. 8	0. 5	21. 5	123
spinach	2. 9	0. 3	2. 0	22
sorrel	1. 5	0. 3	2. 9	19
Berries
grape	0. 6	0. 2	16. 8	65
Mushrooms
mushrooms	3. 5	2. 0	2. 5	thirty
Snacks
potato chips	5. 5	30. 0	53. 0	520
Flour and pasta
vareniki	7. 6	2. 3	18. 7	155
dumplings	11. 9	12. 4	29. 0	275
Bakery products
sliced loaf	7. 5	2. 9	50. 9	264
buns	7. 9	9. 4	55. 5	339
Confectionery
cookie	7. 5	11. 8	74. 9	417
Ice cream
ice cream	3. 7	6. 9	22. 1	189
Chocolate
chocolate	5. 4	35. 3	56. 5	544
Raw materials and seasonings
mayonnaise	2. 4	67. 0	3. 9	627
Dairy
milk 4. 5%	3. 1	4. 5	4. 7	72
cream 35% (fat)	2. 5	35. 0	3. 0	337
Cheeses and cottage cheese
gouda cheese	25. 0	27. 0	2. 0	356
parmesan cheese	33. 0	28. 0	0. 0	392
Meat products
fatty pork	11. 4	49. 3	0. 0	489
salo	2. 4	89. 0	0. 0	797
bacon	23. 0	45. 0	0. 0	500
Sausages
smoked sausage	9. 9	63. 2	0. 3	608
Bird
duck	16. 5	61. 2	0. 0	346
goose	16. 1	33. 3	0. 0	364
Fish and seafood
salmon	19. 8	6. 3	0. 0	142
salmon	21. 6	6. 0	-	140
trout	19. 2	2. 1	-	97
Alcoholic drinks
white dessert wine 16%	0. 5	0. 0	16. 0	153
dry red wine	0. 2	0. 0	0. 3	68
vodka	0. 0	0. 0	0. 1	235
beer	0. 3	0. 0	4. 6	42
Non-alcoholic drinks
soda water	0. 0	0. 0	0. 0	-
cola	0. 0	0. 0	10. 4	42
* data is per 100 g of product

Diet menu after gallbladder removal (Diet)

Below are some menu optionsTable No. 5. It can be modified by observing food processing methods and food preparation technology within the list of products allowed for consumption. Meals are 6 times a day, the diet should alternate between protein dishes (beef, turkey, chicken, fish, cottage cheese) and carbohydrate dishes prepared on the basis of various cereals.

Option 1

Breakfast	oatmeal with milk; cottage cheese casserole; sweet tea with lemon
Lunch	low-fat cottage cheese; crackers; rosehip decoction
Dinner	pearl barley soup with vegetables; meat cutlets; stewed carrots; dried fruits compote
Afternoon snack	fruit mousse
Dinner	2 egg omelet; rice porridge; tea with honey
For the night	Ryazhenka

Option 2

Breakfast	buckwheat porridge with butter; carrot cheesecakes with honey; juice
Lunch	apples baked with sugar
Dinner	vegetable soup; chicken casserole with vegetables; plum juice
Afternoon snack	Lazy cottage cheese dumplings
Dinner	boiled hake with vegetables; mashed potatoes; tea
For the night	kefir

Option 3

Breakfast	white omelette made from two eggs; 2-3 pcs. biscuits; butter; tea with milk
Lunch	lazy dumplings
Dinner	noodle soup; cabbage rolls with rice and meat; jelly
Afternoon snack	carrot juice
Dinner	hake in sour cream; boiled rice; sauerkraut sour cabbage; apricot juice
For the night	acidophilus milk

Dish recipes

Dietary food should be as varied and tasty as possible and include all permitted foods. Recipes for a removed gallbladder can be changed according to your tastes and preferences. The main thing is to follow the cooking technology and use only approved products. Below are some healthy recipes.

First meal

Vegetarian oatmeal soup with vegetables

Potatoes, carrots, zucchini, oatmeal or instant cereal, butter/vegetable oil, sea salt.

Prepare broth from finely chopped vegetables. Add oatmeal and cook for another 5-10 minutes. Salt, add herbs and butter.

Chicken puree soup with vegetables

Any seasonal vegetables (broccoli, carrots, potatoes, eggplants), chicken fillet, herbs, salt, sour cream 10%.

Boil chicken with vegetables. Grind the meat. Add sour cream to the resulting broth, beat with a blender until pureed, add salt, add herbs and pieces of meat. Serve with toasted bread and finely grated cheese.

Second courses

Fish cutlets

White fish fillet, whole milk or cream, bread, egg, salt.

Soak bread in milk. Grind the fish until minced, add squeezed bread, egg white and salt. Mix the minced meat well. Form cutlets and bake in the oven or boil in a steam bath. You can use mashed potatoes or stewed vegetables as a side dish.

Steam omelette with meat

Eggs, beef (chicken), milk, butter, salt.

Boil the meat until tender, pass through a meat grinder. Beat the eggs, pour in the milk and mix thoroughly, add salt. Mix the ground meat into the whipped mixture. Pre-grease the mold with butter and pour the egg-meat mixture into it. Steam.

Dessert

Casserole (cottage cheese with berry sauce)

Cottage cheese, eggs, sugar, semolina, butter.

Beat cottage cheese in a blender, add semolina, sugar, eggs, dried fruits. Mix everything. Pre-grease the mold with butter, lay out the prepared mass and bake in the oven for 30-40 minutes. For the sauce, beat any berries in a blender, add sugar. Serve with sauce or jam.

Apples baked with dried fruits

Sour apples, dried fruits, honey, butter.

Wash the apples and remove the core of the apple. Fill the cavity with chopped dried fruits, sprinkle with cinnamon, add a little butter and honey. Bake in the oven until done.

Advantages and disadvantages

pros	Minuses
It is not financially expensive, products are available all year round. Physiologically balanced. Normalizes the process of bile formation and bile secretion.	Long compliance periods. Availability of skills and culinary knowledge in preparing dietary dishes. Requires free time for individual preparation.

Adviсe

After removal of the gallbladder, you need to practice reasonable physical activity: morning exercises, walking. In the first six months, intense loads on the abdominal muscles are not allowed. In the first month after laparoscopiccholecystectomyYou are allowed to lift no more than two kilograms. After 6 months there are no special restrictions for natural physical activity.

Sanatorium-resort treatment is recommended no earlier than three months after cholecystectomy.

Many people complain about frequentconstipationafter operation. If constipation occurs, we recommend including 6-8 prunes in your daily diet, which should be soaked in a glass of warm water and left overnight at room temperature, covered with a saucer. In the morning, drink all the water and eat prunes (you can do it in two doses).

Comments from nutritionists

After the first month, as a rule, the patient’s diet expands, and many patients begin to break the diet, which causes them to make a serious mistake. A diet after cholecystectomy in the first three months is mandatory, since during this period the functional activity of the digestive organs changes.

After cholecystectomy, during the absence of food in the small intestine, the possibility of bile deposition disappears. At the same time, due to the lack of opportunity for its concentration, the properties of bile change, which affects the function of the gastrointestinal tract. It is these features that are taken into account in the dietary program. Therefore, the question of how long to follow this therapeutic diet can be answered: the minimum period is three months.

The consequences of not following a diet after cholecystectomy can be very serious. Most often, the patient developspostcholecystectomy syndromewith all the ensuing consequences.

Generally speaking, after removal of the gallbladder, you cannot neglect your diet. The diet and diet must be changed forever. Of course, over time, many requirements are simplified, but the basic principles must be respected. This will allow you to optimally maintain liver function and bile secretion, normalize the functioning of the entire gastrointestinal tract and prevent the appearance ofconstipation,bloating, bitterness in the mouth, often found after cholecystectomy.

Many women trying to lose weight are interested in the question of whether it is possible to fast if the gallbladder is removed. No, therapeutic fasting is strictly contraindicated for persons after cholecystectomy. They desperately need fractional meals. In the absence of a gallbladder, there is no natural accumulation of bile - it constantly enters the intestinal lumen, and during fasting and the absence of a food substrate in the intestine, bile will damage the intestinal mucosa. Fasting is for healthy people.

Reviews and results

Reviews from the overwhelming number of patients after cholecystectomy confirm the need and beneficial effect of therapeutic nutrition on the state of the gastrointestinal tract. A therapeutic diet allows the patient to recover faster and normalize their lifestyle:

• ". . . I was tormented by cholelithiasis for a long period. During an exacerbation, I went to the hospital, but then the stones increased in size and the colic became unbearable. They performed an operation and removed the bladder with stones. They said that diet when removing the gallbladder by laparoscopy is the most important thing in treatment. And now almost 3 months have passed. Everything has more or less returned to normal, however, if there is a sudden violation of the diet (overeating, eating fatty foods, drinking a little), various complications begin. Although I understand that nutrition in the absence of a gallbladder needs to be constantly monitored";
• ". . . After my gallbladder was removed, my diet was very strict. A month later I tried to more or less expand it, but I felt bad. The doctor said that it was too early to switch to a common table. And only after a year I was able to start eating normally";
• ". . . For more than a year I followed the diet that was needed after surgery - I did not eat lard, salads with green peas, tomatoes, any dishes with tomato juice, borscht, radishes. It’s been 3 years since the surgery, I eat almost everything. There is no discomfort or pain - life without a gallbladder is quite normal";
• ". . . In the hospital, this diet was prescribed. For people with excised gallbladder, this is the solution. So I’ve been sticking to it for the second month now. I think I'll gradually expand it later.";
• ". . . The food is healthy and wholesome, it’s not difficult to sit on it, you can endure it, the main thing for me is that there is no pain";
• ". . . I cook everything for my husband in a double boiler, I visited the forum and found a lot of useful recipes and tips. Now the food has become varied, and I have taught my children to eat this way too. This is cool";
• ". . . The doctor warned that therapeutic nutrition after cholecystectomy should last 5-6 months, and then you can slightly expand your diet. But I couldn’t stand it for six months and after 4 months I switched to a regular diet, but without fried foods"

Diet price

Dietary food includes the most accessible and inexpensive products. Their acquisition is not very expensive.